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SITE <br />LOT NO. <br />TENANT <br />PERMIT APPLICATIQN <br />CITY OF EVERETT PFRMIT SERVICES <br />3200 CFDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />CONTR. LICENSE # i/D L n� <br />/� �T <br />USE OF BUILDING <br />APPLICATIONS ARE ACCEPTED FROi.: 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />,�,�., l�f�� aso o '� <br />BLOCK TRACT <br />-�S <br />ADD ESS qTYIZIP <br />/32Sfl �� ���z� a,QQ ��� e,�. <br />I CONTACT FOR PERMIT <br />AD RESS " " <br />-eJ4� e . CoC�O S. /3`/��G P.—Q <br />'Z379� ��I%��1I <br />HEAT SOU E � <br />V Electric Gas Other <br />/ Z ��-�---�; ; <br />PERMIT # I <br />/�i �/% : �5�� � <br />PHONE <br />(i�Al: !.(' .L%i� �I <br />PHONE <br />ao � -a��- <br />�CI �11ZIP PHO�JE <br />,�., r,�H- <br />CONTRACT PRICE OF WORK <br />� �l C7 / / ° � <br />WORK DESCRIPTION � /� ✓_�^�-'--�+Jf C � <br />�`�"`� L�J�Ct �`�cJ/������! � _ �D� �-�-�-�� �--��.�. C � ) <br />/S,ta..V /�/ <br />n / . " /1 /� � .E <br />PLUMBING <br />N0. I TYPE OF FIXTURE OR ITEM <br />� <br />� <br />� <br />foilet <br />OatMub <br />Lavatory (wash basin) <br />Shower <br />Kilclien sink & disposal <br />Dishwashar <br />Clothes washer <br />Laundiy iray <br />Sink (service/badmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />Mt(:t1ANIl:HL <br />NO. I TYPE OF FIXTURE OR �TEM <br />� A/C - air handling uni�s <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas freplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihal I have read and examined this applica�ion and know lhe same lo be Irue and co«ecL All provisrons of laws and <br />ordinaces goveming this type of work will be complied with whether specified herein or not. The granling of a permil does nol presume <br />to give authority lo violate or cancel fhe provision of any other state or local law regulating construction or the pertormance of <br />construclion. Thal I am authorized by Ihe owner of lhi� property to perform ihe work for which application is made and I comply wdh Ihe <br />Sta�e Contractors Law 18.27 RCW and 296.200 WAC. , <br />U <br />/ <br />Z <br />